2016 ARTSFUND Grants Program Application Packet. Postmark Deadline for Applications: Tuesday, March 1, 2016

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1 Alameda County Arts Commission ARTSFUND Grants Program Application Packet... Postmark Deadline for Applications: Tuesday, March 1, 2016 Grant Application Workshops (optional): January 6, 20, and 21, 2016 Application form available on Arts Commission website: Click in Programs and ARTSFUND Alameda County Arts Commission 1401 Lakeside Drive, Suite 603, Oakland, CA

2 Alameda County Board of Supervisors District 1 Scott Haggerty District 2 Richard Valle District 3 Wilma Chan District 4 Nate Miley District 5 Keith Carson Alameda County Arts Commission The Alameda County Arts Commission was established by the Alameda County Board of Supervisors to nurture a thriving environment for the arts and for cultural activities; to promote economic opportunities for Alameda County's artists and arts organizations; to encourage public participation in the arts; and to actively advocate for the arts. Goals of the ARTSFUND Grants Program The Arts Commission administers the ARTSFUND Grants Program to support arts activities in Alameda County by Alameda County nonprofit organizations. With a focus on Alameda County organizations, the goals of the Program are to: Promote the development of Alameda County as a center for all art forms and creative expression; Increase high quality arts programs; Advance arts organizations that are small and mid-sized; Encourage arts organizations that are newly formed; Promote arts organizations with unique programs; Encourage arts organizations in communities that have relatively few established arts programs; Involve County residents as participants and audiences of County arts programs; Encourage participation by Alameda County's diverse populations and under-represented persons in all aspects of arts and cultural activities within the County; Promote Alameda County organizations that provide arts programming as a primary focus of the organization and/or organizations that provide arts programming as an essential and indispensable aspect of the organization. Organizations We Fund The ARTSFUND Grants Program support Alameda County based nonprofit organizations that provide arts programs and services in Alameda County. We also support Alameda County based organizations that present a portion of their programs, featuring Alameda County artists, at venues outside of Alameda County. Applicant organizations must provide at least 66% of their programs in Alameda County. The ARTSFUND Grant award may be used to support programs and/or general operating expenses to continue the on-going activities of the grantee organization. Grants Awards Applications are evaluated by the Arts Commission s Grant Review Committee. Awardees are reviewed by the Members of the Arts Commission and recommended to the Alameda County Board of Supervisors for final approval. The standard ARTSFUND grant award amount is $1,000. To support one of the primary goals of this program, the Arts Commission may give larger grant awards to small and mid-sized organizations. For the purposes of this program, the Arts Commission considers a large organization to have an annual operating budget of $1 million or more. Support for this Program ARTSFUND Grants Program is funded by 3 sources: (1) The County of Alameda; (2) Community member contributions to the ARTSFUND Program included with County property tax payments; (3) Contributions by community members and County employees through the Foundation for the Arts in Alameda County. Recent Grant Recipients The following organizations received an ARTSFUND grant in the 2015 cycle and are not eligible to apply in this 2016 cycle: African American Quilt Guild of Oakland, Altarena Playhouse, AXIS Dance Company, Bay Area Girls Rock Camp, Berkeley Ballet Theater, Berkeley Chamber Performances, Berkeley Repertory Theatre, California Revels, Cantabella, Cantare Con Vivo, Castro Valley Arts Foundation, Chora Nova, Composing Together, Crowden Music Center, Destiny Arts Center, Dimensions Dance Theater, Inc., East Bay Children's Theatre, Inc., Eden Aoba Taiko, Freight & Salvage Coffeehouse, Fremont Cultural Arts Council, Impact Theatre, Inferno Theatre, Islamic Cultural Center of Northern California, Island City Opera, Just Theater, Kala Art Institute, Livermore Valley Opera, Luna Dance Institute, Mission Peak Chamber Singers (MPCS), Music at the Mission, Newark Symphonic Winds, Oakland Asian Cultural Center, Oakland Interfaith Gospel Choir, Oakland Youth Chorus, PlayGround, Poetry Flash, Prometheus Symphony Orchestra, Rhythmix Cultural Works, Rock Paper Scissors Collective, Shawl-Anderson Dance Center, Shotgun Players, Stagebridge, Sun Gallery, Valley Concert Chorale, Voci Women's Vocal Ensemble, Wee Poets, West Edge Opera, Youth Orchestra of Southern Alameda County. Office of the Alameda County Arts Commission For more information regarding ARTSFUND Grants Program and application process, contact Rachel Osajima, Director, Alameda County Arts Commission, rachel.osajima@acgov.org or , ARTSFUND Application Package i

3 2016 ARTSFUND GRANT REQUIREMENTS AND PROCESS Deadline: Tuesday, March 1, 2016 (postmark) WHAT WE FUND: Grants funds may be applied toward programs and/or general operating costs. REQUIREMENTS I. ELIGIBLE ORGANIZATIONS A. Each applicant organization ( Applicant ) must meet all of the following criteria: 1. Be governed by a board of directors; board must include at least three persons who conduct meetings on a regular schedule such as monthly or quarterly. 2. Be headquartered in Alameda County with a physical location (a PO Box cannot be used as a headquater). 3. Offer arts programming as a regular, ongoing part of organization s activities. Arts programming must be the primary focus of the organization and/or the arts programs must be an essential and indispensable aspect of the organization. 4. If programs, performances, or services are exclusively within a single facility, that facility must be in Alameda County. Information on the physical location of the facility must be included in application. 5. Have provided consistent arts programming with 66% or more of its programs, performances, or services in Alameda County for at least one year prior to the date of application. 6. Plan to provide 66% or more of its programs, performances, or services in Alameda County during the ARTSFUND grant period of July 1, 2016 to June 30, For activities consisting of public performances (such as music, dance, and theater), at least 66% of the performances must be in Alameda County. 8. For activities consisting of educational programs and workshops, at least 66% of the sessions must be in Alameda County. 9. If rehearsals are to be a specific component of the educational program, these sessions may be included within the program activities to help illustrate that 66% or more of its programs, performances, or services are in Alameda County; if rehearsals are not considered to be a component of the educational program, these sessions may not be included within the program activities, 10. For activities consisting of literary publications, they must be published in Alameda County and 66% of the circulation must be in Alameda County. 11. All programs or projects funded with ARTSFUND grant funds (including performances, exhibits, workshops, etc.) must be available and open to the public through attendance and/or participation. 12. Applicant did not receive a 2015 ARTSFUND grant. See Recent Grant Recipients list on page i. B. Applicants must meet one of the following criteria: (c)(3) with the Applicant s location within Alameda County and with information regarding Federal incorporated status with effective date of exemption established for at least one year prior to date of application to the ARTSFUND; community colleges with 501(c)(3) status are not eligible; or (c)(4) with the Applicant s location within Alameda County and with information regarding Federal incorporated status with effective date of exemption established for at least one year prior to date of application to the ARTSFUND. 3. If neither of the above criteria apply, an organization may be eligible to apply with a fiscal sponsor, using the Fiscal Sponsor Supplement-Attachment A, providing that the Fiscal Sponsor: a. Meets all the criteria in section I.A and meets either I.B.1 or B.2 criteria above. b. Has a mission statement and organizational values similar to the Applicant organization. c. And providing that both the Applicant organization and the sponsor organization are formal organizations with elected boards of directors that hold regular meetings. C. Local Arts Councils and Associations that meet all of the eligibility requirements contained in Requirements sections I.A and either the I.B.1 or B.2 criteria above may apply to this Grants Program. For this 2016 program cycle, Local Arts Councils and Associations must indicate their category on application form page 3, question S and answer question on application form page 8, narrative question I. Local Arts Councils and Associations will not answer application narrative question H. Examples of characteristics of Local Arts Councils and Associations are: 1. Organizations that were established to: provide leadership in the arts; advocate for the arts and connect with other arts advocacy activities and networks; provide funding and other resources for the arts and arts organizations; encourage awareness and appreciation of the arts; support the participation of artists in the arts; encourage community participation in the arts; promote and support partnerships with other organizations to support the arts and arts education. 2. Organizations such as: Arts Council of San Leandro, Fremont Cultural Arts Council, Fremont Art Association, Hayward Arts Council, Livermore Cultural Arts Council, Newark Arts Council, Pleasanton Cultural Arts Council, Pleasanton Art League, San Leandro Art Association. Note: Eligibility requirements for the organizations listed have not been confirmed. All applicants are required to contact the Arts Commission director Rachel Osajima to determine and confirm if applicant fits into Local Arts Councils and Associations category ARTSFUND Application Package ii

4 REQUIREMENTS - Continued D. The following are not eligible for funding: 1. For-profit organizations. 2. Departments, divisions, projects, commissions and boards of the County of Alameda. 3. Departments and boards of city governments and special districts. 4. Individual artists. 5. Elementary or secondary schools and school districts, boards and associations. 6. Organizations or activities that are part of the curriculum of a college, university or community college; provided, however, that this exclusion shall not apply to any class that is not for college, university or community college credit and is not a part of the curriculum of a college, university or community college. A foundation, established for the support of a college, university or community college, that is exempt from taxation under Section 501(c)(3) of the Internal Revenue Code is eligible as long as the foundation, rather than the college, university or community college or a department thereof, is the applicant. 7. Programs not accessible to the public. 8. Expenses incurred before the starting date of the grant period (July 1, 2016). 9. Organizations with services in Alameda County for less than one year prior to date of application. 10. Organizations seeking funds to hire a separate commercial organization, business or individual to manage and produce all aspects of the activities funded by the grant. 11. Organizations submitting incomplete or handwritten applications. 12. Organizations or projects that do not support the ARTSFUND goals (Listed on pg. i). 13. Organizations that do not clearly illustrate within their ARTSFUND application how their programs meet the eligibility criteria listed in this Grant Program Application Packet. II. FISCAL SPONSOR A. B. C. D. III. GRANT AMOUNT A. IV. The standard ARTSFUND grant award amount is $1,000. To order to support one of the primary goals of this program, the Arts Commission may give larger grant awards to small and mid-sized organizations. It is expected that grant awards to small and mid-sized organizations will be between $1,000 - $2,500. For the purposes of this program, the Arts Commission considers a large organization to have an annual operating budget of $1 million or more. Additionally, the ARTSFUND Grants Review Committee and the Members of the Arts Commission may decide to recommend that specific organizations receive awards between $1,000 - $2,500 or more, depending on various factors such as the total amount of possible award funds, number of eligible applications received, and the evaluation ranking based on the stated selection criteria. All ARTSFUND applicants will be considered for the established grant award amounts. Therefore, the ARTSFUND grant application does not include a section that requires the applicant to submit a specific funding request. Because the grant funds can be used to support programs and/or general operating costs, applicants do not need to specify the expected use of the grant funds. FUNDING CYCLE A. B. C. V. An organization that meets all of the criteria listed under I.A and I.B.1 or B.2 may apply for a grant on its own behalf and also serve as fiscal sponsor to another organization. A fiscal sponsor organization may sponsor more than one organization in a given grant cycle. The Arts Commission recommends that an organization apply with the use of a fiscal sponsor no more than two times. The Arts Commission encourages sound business practices and to that end recommends that organizations work toward the goal of incorporation. In addition to all other application requirements, Fiscal Sponsor and Applicant must complete all information and requirements on Attachment A. The grant period for the 2016 grant funding cycle is the 24-month period from July 1, 2016 (first allowable event date) to June 30, Grant award funds are anticipated to be disbursed by June 30, 2016, but may be used over the course of the full 24month grant period. A Final Report must be filed no later than 30 days after the 24-month funding cycle (i.e., by July 30, 2018). DEADLINES AND REVIEW PROCESS A. Applications must be submitted by mail and postmarked no later than Tuesday, March 1, Applications will be reviewed in April or May 2016 by the Arts Commission s ARTSFUND Grants Review Committee. The ARTSFUND Grants Review Committee meeting is open to the public. Applicant organizations are welcome to attend the meeting to learn about the review process. To learn about the exact meeting date, time and location, visit the Arts Commission s online calendar at the website - click on About Us and Meeting Calendar. It is anticipated that the meeting information will be posted by April 1, At this meeting, the ARTSFUND Grants Review Committee will not (1) hear presentations from Applicants; (2) will not consider supplement information related to any application, and (3) is prohibited from asking questions and receiving information from attendees related to the applications. RSVP is not required ARTSFUND Application Package iii

5 REQUIREMENTS Continued B. The ARTSFUND Grants Review Committee s recommendations will be reviewed by the Members of the Arts Commission before referral to the Alameda County Board of Supervisors for approval. It is anticipated that the recommendations will be presented to the Alameda County Board of Supervisors in May or June The Arts Commission has seats for 15 community members (three from each of the five supervisorial districts of Alameda County) appointed by the Board of Supervisors, and 7 ex-officio members representing County departments and regional educational and cultural institutions. PROCESS SELECTION CRITERIA The ARTSFUND Grants Review Committee will use the submitted ARTSFUND application materials to evaluate and determine the ranking of each Applicant. The following evaluation criteria will be used: A. Overview & Mission. Applicant has clearly articulated their overview and mission (Maximum of 5 points). B. Organizational Focus on Arts Programs. Arts Programming is the primary focus of the organization and/or the arts programs are an essential and indispensable aspect of the organization. (Max: 10 points as follows: 100% of programs are arts programs and/or arts programs are an essential and indispensable aspect: 10 points; 90%: 9 points; 80%: 8 points: 70%: 7 points; 60%: 6 points: 50%: 5 points; 1%: 1 point.) C. Past and Present Arts Programs. Applicant has clearly articulated its arts programs for the period of Jan. 1, June 30, (Maximum of 5 points.) D. Future Arts Programs. Applicant has clearly articulated its plans for arts programs and activities for July 1, June 30, (Maximum of 5 points.) E. Portion of Arts Programs in Alameda County. Applicant has clearly illustrated that 66% or more of its programs and services have been presented in Alameda County for at least one prior year to application date; and 66% or more of its programs and services will be presented in Alameda County during the grant period of July 1, 2016 June 30, If 100% of the programs and services have been and will be presented in Alameda County, the applicant will receive the maximum points. (Max: 5 points as follows: 100% of programs and services in Alameda County: 5 points; 99-90%: 4 points; 89-80%: 3 points; 79-70%: 2 points; 69-66%: 1 point.) F. Promotion and Audience Outreach, Engagement and Development. Applicant has clearly demonstrated strategies to ensure effective promotion and attendance outreach, engagement and development for programs. (Maximum of 15 points.) G. Benefit of Programs. Applicant has clearly articulated the need for and the benefit of the programs in the communities they serve in Alameda County. The Applicant has articulated if programs have a particular impact on diverse populations or underrepresented persons. Applicant has clearly articulated if programs benefit communities with few or no other related arts programs. (Maximum of 20 points.) H. High Quality and Unique Programs. Applicant has clearly demonstrated strategies to ensure unique and high quality programs and services. (Maximum of 20 points.) NOTE: All Applicants must answer narrative question H except Local Arts Councils and Associations. I. Local Arts Council and Association s Unique Programs and Services. Applicant has clearly articulated the need for and the benefit of its unique programs and services that are specific to the work of Local Arts Councils and Associations. (Maximum of 20 points.) NOTE: Local Arts Councils and Associations will answer narrative question I and not narrative question H. J. Management Capability and Fiscal Capability. Information about the Applicant s key staff members and their roles, and board of directors shows the organization is managerially responsible; Applicant s financial information shows the organization is fiscally responsible. (Maximum of 15 points.) OPTIONAL GRANT APPLICATION WORKSHOPS Applicants may attend an OPTIONAL application workshop. Questions concerning application procedures will be answered at these workshops. NO RESERVATION IS REQUIRED. Space will be provided for all who attend ARTSFUND APPLICATION WORKSHOP SCHEDULE Wednesday, January 6, 2016, 5:30 7:00 p.m. LIVERMORE: Robert Livermore Community Center, 4444 East Avenue, Community Meeting Room, Livermore, Wednesday, January 20, 2016, 3:00 4:30 p.m. FREMONT: Fremont Main Library, 2400 Stevenson Blvd., Conference Room A, Fremont, Thursday, January 21, 2016, 3:00 4:30 p.m. OAKLAND: Alameda County Lakeside Building, 1401 Lakeside Dr., Conference Room 1105, Oakland, Additionally, applicants who have general questions or need assistance with the application can contact the Alameda County Arts Commission Director Rachel Osajima via rachel.osajima@acgov.org or phone ARTSFUND Application Package iv

6 EXAMPLE FINANCIAL INFORMATION The following example financial information illustrates the general expected format of the applicant organization s Balance Sheet and Profit & Loss Statements. If your organization has limited experience with creating financial reports, please use this example as a guide. Name of Organization Balance Sheet (Account Numbers are optional) As of June 30, 2015 ASSETS Current Assets Bank Accounts Accounts Receivable Total Cash Other Current Assets Prepaids (grants) Fixed Assets Depreciation Leasehold Improvements Amortization Total Assets 3, , , , , , , , , , LIABILITIES Current Liabilities Accounts Payable Payroll Taxes Sales Taxes Total Payable 2, , Accruals (accounting, Ins.) 2, Total Current Liabilities Retained Earnings (Equity) Net Income (Current Year) Total Liabilities and Equity 5, , , , Name of Organization Profit & Loss (OR Income & Expenses) (Account Numbers are optional) July 2014 through June 2015 INCOME Interest Grant Income Donations Membership Fees Gate Income Tuition Sales TOTAL INCOME July 14-June 15 1, , , , , , , , EXPENSES Accounting fees Insurance Depreciation Amortization Office Supplies Postage Printing Maintenance Office Rent Utilities Costume rental Outside venue rent Contractors (non-staff) Salaries Payroll taxes Workers' Comp TOTAL EXPENSES NET INCOME (LOSS) , , , , , , , , , , , , , , ARTSFUND Application Package v

7 SUBMISSION OF APPLICATION MAIL YOUR APPLICATION TO: ALAMEDA COUNTY ARTS COMMISSION 2016 ARTSFUND GRANTS PROGRAM 1401 Lakeside Drive, Suite 603 Oakland, CA APPLICATION DEADLINE: Tuesday, March 1, 2016 (POSTMARK) Hand-deliver, fax or ARTSFUND applications will not be accepted. Applications not postmarked by the deadline above will be disqualified. The Alameda County Arts Commission staff cannot confirm receiving your application. Applications lost within the U.S. Postal Service system and not delivered to the Arts Commission until after the ARTSFUND panel meeting, will be disqualified, even if postmarked prior to the above deadline. To receive proof of delivery, applicants may use the U.S. Postal Service s delivery confirmation system such as Return Receipt and/or Signature Confirmation. FedEx and UPS deliveries are also accepted if received on or before the postmark deadline. Number of Application Packets and Assembly Requirements: Assemble the materials in the order listed on Application Form Page 1 into six complete and separate packets; One must be marked ORIGINAL on the front and contain all original signatures and it must be accompanied by five complete copies (a total of six sets). Pages should be printed on the front only; do not print or copy onto double sided paper. All pages must include the Applicant s name in the upper right-corner and the page number in the bottom right-hand corner (hand-written or typed is acceptable). A full set of documentation and promotion items must accompany the original and all five copies. If possible, staple all items within each set together in the upper lefthand corner. Do not include binders or plastic sheet cover materials. The application form is available on the Arts Commission website as an interactive fillable PDF form. To complete the form Applicants must use Adobe Reader. For more information regarding the ARTSFUND Grants Program and application process, contact Rachel Osajima, Director, Alameda County Arts Commission, rachel.osajima@acgov.org or phone: or CALIFORNIA CULTURAL DATA PROJECT For this application period, the Alameda County ARTSFUND application is not accepting Funders Reports from the California Cultural Data Project. Applicants must submit financial reports that are internally generated ARTSFUND Application Package vi

8 2016 ARTSFUND GRANT APPLICATION FORM APPLICANT NAME ARTSFUND APPLICATION MUST INCLUDE ALL OF THE FOLLOWING ITEMS: 1. Completed and Signed 2016 ARTSFUND Application Form (Pages 1-8). Include a copy of this page (Application Form - Page 1), with a check-mark added to each check-box, indicating that all items have been included in the application packet. Attached to Application Form (Pages 1-8), submit the following items on 8 ½ x 11 paper (there is no page limit): 2. List of organization's arts program activities for January 1, 2015 June 30, 2016 (*instructions below). 3. List of organization s key staff members and their roles; and a list of organization s board members with their board titles, number of years of involvement, other affiliations, etc; and schedule of regular board meetings. 4. Copy of Federal Internal Revenue Service letter of tax exempt status Section 501(c)(3) or 501(c)(4) with Applicant s name as it appears in the ARTSFUND application and applicant s address located in Alameda County. 5. Financial Information; Submit internally generated documents of the following items (audited, if available): (1) Applicant s Balance Sheet (assets, liabilities, equity) as of the end of the last completed fiscal year 2014/2015 OR 2015; (2) Applicant s statement of Profit & Loss (or Income & Expenses) for the last completed fiscal year 2014/2015 OR Please see the example financial information provided on page v. Note: If the arts program is only one aspect of the organization, provide detailed financial information specifically about the arts program AND the whole organization. Note: This year the ARTSFUND application process is not receiving Funders Report generated through the California Cultural Data Project (CDP). 6. Short written statement describing any significant change (such as an increase or decrease of 20% or more) in annual budget and/or year-end surplus or deficit. 7. Two (minimum) five (maximum) documentation or promotional items such as brochures, flyers, press reviews, printed photographs related to the completed arts program activities. All items should be the size of 8 ½ x 11 paper or for smaller items, attach the items to 8 ½ x 11 pieces of paper. Include a full set of items to accompany all six sets of application materials. Other types of media (i.e. CDs, videos, and audio) will not be reviewed by the committee and will not be returned. 8. OPTIONAL - If using a fiscal sponsor, Fiscal Sponsor Form-Attachment A, and additional required items listed on form. Assemble the materials in order listed into six complete and separate packets. See page vi for complete instructions. *For Item 2: Submit this information on attached pieces of 8 ½ x 11 paper (there is no page limit). Submit information about program activities including dance, music, performances, visual art exhibitions, educational workshops, rehearsals (if considered educational activities), etc. include the following: Name and short description of event. If you present annual programs that are identical in name and/or description, please describe how the programs are different/unique each year; Location of event with facility name and/or short description, street address and city; Number of people, and description of their role, who benefited from the arts activity as a provider of the services, such as performers, teaching artists in a workshop, presenting visual artists in an exhibition, published writers, etc. (estimated information is acceptable); Number of people, their age, gender and ethnicity, who benefited from the arts activity as a recipient of the services, such as audiences at a performance, students participating in an arts workshop, viewers of an exhibition, readers of a publication, etc. (estimated information is acceptable); Indication if attendees are part of an established membership, or part of the general public; Total number of persons served per year (estimated information is acceptable); Total number of arts program activities per year; Percentage of arts program activities provided in Alameda County. Please note, as per the Eligible Organization Requirements on page ii, eligible ARTSFUND Applicants must provide consistent arts programming with 66% or more of its programs, performances, and/or services in Alameda County for at least one year prior to the date of application; and eligible applicants must plan to provide 66% or more of its programs, performances, and/or services in Alameda County during the grant period of July 1, 2016 to June 30, ARTSFUND Application Form Page 1 of 8

9 2016 ARTSFUND GRANT - APPLICATION FORM IMPORTANT NOTES: This is an interactive fillable form. Applicants must use Adobe Reader to complete the form. Users can save the completed form. Once the form is complete, Applicants must print-out the form and submit hardcopies. See page vi for instructions regarding the number of Application sets. There is no option to submit an electronic version of this form. For all questions, please contact the Office of the Arts Commission. I. GENERAL APPLICANT INFORMATION A. Applicant s Common Name (Note: Use Common Name (i.e., the name you do business by) when answering the narrative questions and at the top of each page). B. Applicant s Legal Name C. Applicant is a 501(c)(3) OR 501(c)(4) OR Using a Fiscal Sponsor D. If Applicant is a 501(c)(3) OR 501(c)(4): Applicant s Federal Tax I.D.# Date Applicant Organization was established (month / year) Date of Federal 501(c)(3) OR 501(c)(4) Status E. If Applicant is using a Fiscal Sponsor: Fiscal Sponsor s Name Fiscal Sponsor s Federal Tax I.D.# (If using a fiscal sponsor, Applicant must include all required application materials listed on application page 1and include completed Fiscal Sponsor Form & required items as listed on Attachment A.) F. Has the Application Organization received an ARTSFUND Grant in the past? Yes OR No If Yes, indicate the most recent year the funds were received Amount of award Note: Review the 2015 grantee list on page i to insure that your organization is eligible to apply in the 2016 cycle. ; 2014/2015 OR 2015 G. Applicant's final organizational budget for the last completed fiscal year: $ Note: final operating budget amount should match financial documents submitted with the application. H. Applicant's budget for the current fiscal year: $ ; 2015/2016 OR 2016 I. Applicant's Headquarters and Mailing Address City Zip J. Applicant's Address of Other Primary Facilities (if different than above) City K. Organization Telephone Zip Organization Fax (optional) L. Address for Applicant's Administration M. Applicant's Website (submission of this information optional) N. Name of Administrative Director (or other related position) O. Name of Artistic Director (or other related position) 2016 ARTSFUND Application Form Page 2 of 8

10 2016 ARTSFUND Application continued APPLICANT NAME P. Person to contact about this application: Contact Name Contact Title Contact Telephone Contact Mobile Phone Contact Fax (optional) Contact Address Q. Applicant's primary discipline? Select one below. If more than one discipline, select #6. (This answer is used for general information only and does not affect the evaluation score or the funding recommendation.) 1. DANCE 2. LITERATURE 3. MUSIC 4. THEATER 5. VISUAL ARTS 6. MULTIDISCIPLINARY R. MANDATORY SECTION. Answer the following questions related to Alameda County Supervisorial Districts. Missing information may disqualify your application. To determine Supervisorial District information, you may do one of the following: Call the Alameda County Registrar of Voters Office (510) and request the information; or Visit the following Alameda County websites with detailed county maps: Alameda County Map - District District District District District In which Alameda County Supervisorial District is your organization s headquarters located? Select One: District 1 District 2 District 3 District 4 District 5 In which Alameda County Supervisorial District do you conduct the majority (51% or more) of your arts programs, services and activities such as performances, exhibits, educational workshops? Select One: District 1 District 2 District 3 District 4 District 5 S. Is the Applicant Organization a Local Arts Council or Association? Applicants in this category are REQUIRED to confirm their status with the Arts Commission director, Rachel Osajima, prior to submitting an application. rachel.osajima@acgov.org or phone: or No OR Yes If NO: On Application Form page 8, answer narrative question H and not question I. If YES: On Application Form page 8, answer narrative question I and not question H ARTSFUND Application Form Page 3 of 8

11 II. TERMS AND CONDITIONS OF AWARD By signing and submitting this application for the ARTSFUND Grants Program, Applicant agrees to the following Terms & Conditions. If Applicant is awarded funds from the ARTSFUND Grants Program they are a Grantee. If a Grantee fails to comply in full with these Terms & Conditions, the Grantee could be required to return the grant funds in part or in full, and/or could be disqualified from future funding. 1. This grant shall be used only for programs, services, and/or activities occurring within Alameda County. 2. The grant shall be used in accordance with on-going programs, services and activities as described by Grantee s ARTSFUND application. 3. When acknowledging funders, Grantee will acknowledge the Alameda County Arts Commission ARTSFUND through the use of the Arts Commission logo and/or through the listing of the name Alameda County Arts Commission ARTSFUND Alameda County Arts Commission logo can be downloaded at - Programs - ARTSFUND. 4. All grant funds will be used within the grant period of July 1, 2016 to June 30, Grantee shall immediately notify the Arts Commission if any portion of the grant funds will not be expended within this period, and will promptly return any unexpended funds to the Arts Commission unless otherwise approved in writing by the Arts Commission. 5. Grantee will complete all parts of the Final Report Form provided by the Arts Commission by the deadline stated in ARTSFUND requirements. 6. Grantee is not required to obtain funds from another source to match the ARTSFUND grant award. 7. Grantee agrees to provide reasonable access to Grantee's programs that are being supported, in part or fully, by this grant to designated Arts Commission representative(s) for the purpose of observation, monitoring and reporting. 8. Grantee shall maintain accounts, records, and other appropriate documentation regarding costs and revenues pertaining to Grantee's programs and operations for a period of at least three years after the end of the grant period. The system of accounting employed by Grantee shall be in accordance with generally accepted accounting principles and shall be applied in a consistent manner so that the program, service and activity expenditures can be clearly identified. Grantee's financial management system shall provide for effective control over, and accountability for, all funds, property and other assets; the Grantee shall adequately safeguard all such assets and shall assure that they are used solely for authorized purposes. Art Commission, or other County of Alameda ( County ), representatives may inspect and audit Grantee's financial accounts and records, or may designate a qualified person to do so on behalf of the County, at any time during business hours and with such frequency as may be deemed necessary. 9. Grantee gives permission to the County, including the Arts Commission, to use information contained in Grantee s application for documentary and promotional purposes. This includes any and all materials with this application including copyrighted matter such as written statements and images. 10. It is the responsibility of the Grantee to promptly notify the Arts Commission of any changes in its tax-exempt status. 11. For the purposes of this Grant Application and any award, including all Terms and Conditions, where the grant application was made under the sponsorship of a Fiscal Agent, the term "Grantee" applies to both the Fiscal Agent organization AND to the persons and activities being sponsored by the Fiscal Agent organization. 12. Grantee agrees to observe and comply with all applicable laws, ordinances, codes and regulations of governmental agencies, including federal, state, municipal, and local governing bodies including all the Civil Rights Act of 1964, the Fair Labor Standards Act, as defined by the Secretary of Labor in part 505 of title 29 of the Code of Federal Regulation and the American With Disabilities Act of Grantee shall indemnify and hold County harmless from any and all liability, fines, penalties and consequences from any of Contractor s failures to comply with such laws, ordinances, codes and regulations. 13. If a court of competent jurisdiction holds any provision of this application, including these Terms and Conditions, to be illegal, unenforceable, or invalid in whole or in part for any reason, the validity and enforceability of the remaining provisions, or portions of them, will not be affected, unless an essential purpose would be defeated by the loss of the illegal, unenforceable, or invalid provision. 14. It is the responsibility of the Grantee to notify the Arts Commission in writing of any change in address or change of names of key staff and individuals in Grantee's organization. By signing this Grant Application, signatory warrants and represents that he/she executed this Application in his/her authorized capacity and that by his/her signature on this Application, the entity upon behalf of which he/she acted, executed it. By signing this Application signatory warrants and represents all Terms and Conditions of Award are accepted, that the information contained in this Application and in all attachments is true and correct, and that they are legally authorized to represent the organization. Applicant Organization s Legal Name and Common Name Date Signature, Board Chair or legally authorized representative of Applicant Typed or Printed Name and Title ALAMEDA COUNTY ARTS COMMISSION 3/1/2016 Rachel Osajima, Executive Director Date 2016 ARTSFUND Application Form Page 4 of 8

12 2016 ARTSFUND Application continued APPLICANT NAME V. NARRATIVE QUESTIONS INSTRUCTIONS: For all narrative questions, brief responses are appropriate. Answer in the space provided and within the stated character limit. This page includes questions: A, B. A. Please provide a brief overview of your organization and include your mission statement. (Maximum: 1,000 characters with spaces). B. Briefly describe if your arts programs are a portion of your overall programming or if they are the complete focus of your organization. If the arts programs are a portion of your overall programming, please describe the percentage and how the arts programs are essential and indispensable to your organization. (Maximum: 500 characters with spaces) ARTSFUND Application Form Page 5 of 8

13 2016 ARTSFUND Application continued APPLICANT NAME V. NARRATIVE QUESTIONS continued This page includes questions: C, D, E. C. Summarize your arts program activities during January 1, 2015 through June 30, Describe your overall program goals, program characteristics and general schedule. (This brief narrative summary will be reviewed in conjunction with your detailed list of these program activities listed on attached sheets, as per the instructions on Application Form, Page 1, item 2). (Maximum: 1,000 characters with spaces). D. Summarize the arts program activities planned for July 1, 2016 through June 30, 2018 (During the ARTSFUND grant period). Describe your overall program goals, program characteristics and general schedule. Explain the difference between your past program activities (as per narrative question C) and your planned program activities. For example, will your regular programs continue or will there be any significant changes? (Maximum: 1,500 characters with spaces). E. Describe what percentage of your arts program activities for Jan. 1, 2015 through June 30, 2016 have been and will be conducted in Alameda County (See minimum requirements on Application Package, Requirements pg. ii Section I.A). Describe what percentage of your planned arts program activities for July 1, 2016 through June 30, 2018 will be conducted in Alameda County (See minimum requirements on Application Package, Requirements pg. ii Section I.A) ARTSFUND Application Form Page 6 of 8

14 2016 ARTSFUND Application continued APPLICANT NAME V. NARRATIVE QUESTIONS continued This page includes questions: F. G. F. How does your organization promote its programs and attract new audiences, visitors and/or members? How does your organization conduct outreach and engage the public and the community? Include in your brief description information about past promotion and audience outreach and development activities and the planned/future promotion and audience outreach and development activities and how they differ. Include information about your organization s membership size and/or regular participants and social media contacts. (Maximum: 1,500 characters with spaces). G. Briefly describe how the specific communities you serve and the wider community of Alameda County benefits from your organization s programs. How does your organization serve diverse populations and/or under-represented persons in Alameda County? Indicate whether your organization s programs serve communities in which there are few or no other related arts programs. (Maximum: 2,000 characters with spaces). VI. BUDGET SUMMARY 2016 ARTSFUND Application Form Page 7 of 8

15 2016 ARTSFUND Application continued APPLICANT NAME V. NARRATIVE QUESTIONS continued This page includes questions: H, I. Narrative Question H should be answered by All Applicants except the Locals Arts Councils and Associations. Locals Arts Councils and Associations will answer narrative question I instead of H. To evaluate the applicant organization s designation as a Local Arts Council or Association, please see Application Package, Requirements, page ii, Section C. Additionally, it is REQUIRED that the Applicant contact the Office of the Arts Commission to confirm status. H. How does your organization ensure high quality and unique programs, for example through the involvement of qualified staff and qualified presenting artists (performers, exhibiting artists, writers), teaching artists, program planning in relationship to contemporary best practices, participant feedback, etc. (Maximum: 1,500 characters with spaces). I. As a Local Arts Council or Association, what are the unique activities that your organization conducts? Explain how the activities support the mission and vision of the organization. Some or all of the following may be examples: provides leadership in the arts; advocates for the arts and connects with local, regional and national arts advocacy activities and networks; provides funding and other resources for the arts and arts organizations; encourages awareness and appreciation of the arts; supports the participation of artists in the arts; encourages community participation in the arts; promotes and supports partnerships with other organizations such as nonprofits, local businesses, civic organizations, schools, etc. to support the arts and arts education, and other services not listed as examples. (Maximum: 1,500 characters with spaces). VI. BUDGET SUMMARY 2016 ARTSFUND Application Form Page 8 of 8

16 2016 ARTSFUND ATTACHMENT A APPLICANT NAME 2016 ARTSFUND GRANT - FISCAL SPONSOR FORM To evaluate the Applicant s need for a fiscal sponsor, see Application Package, Requirements (page ii and iii). 1. Applicant organization s common name 2. Applicant organization s legal name 3. Fiscal sponsor organization s legal name 4. Fiscal sponsor address 5. Fiscal sponsor contact person 6. Fiscal sponsor phone and fax numbers 7. Fiscal sponsor address 8. Fiscal sponsor website address 9. Fiscal sponsor date of incorporation 10. Fiscal sponsor I.R.S. TAX I.D. number 11. Fee or percentage charged by fiscal sponsor for providing this service: 12. Briefly explain the reason(s) why applicant is using a fiscal sponsor. Why doesn t the applicant organization have 501(c)(3) OR 501(c)(4) status? 13. REQUIRED ADDITIONAL ATTACHMENTS FOR APPLICANTS USING FISCAL SPONSORS Submit six sets (the original plus five copies) collated and added to the end of the main application materials. A. "FISCAL SPONSOR FORM", signed by Board Chair or legally authorized representative and by Applicant. Submit original and copies. B. Letter of agreement, signed by Board Chair or legally authorized representative, stating the fiscal sponsor organization's intent to act as fiscal sponsor, which defines any form of payment between the sponsoring and sponsored organization for this service; C. Short description of the FISCAL SPONSOR'S mission, history and programs (no more than one page, Times New Roman 12pt. type or similar font style and size) D. FISCAL SPONSOR'S 501(c)(3) OR 501(c)(4) Federal Tax Exempt Status Letter; and E. FISCAL SPONSOR'S most recent financial statement (audited, if available): (1) Organization s Balance Sheet (assets, liabilities, equity) as of the end of the last completed fiscal year 2014/2015 OR 2015; (2) Organization s statement of Profit & Loss (or Income & Expenses) for the last completed fiscal year 2014/2015 OR VERIFICATION Submission of this Grant Application and agreement to all Terms and Conditions of Award have been approved by our Board of Directors. I certify that the information contained in this application and in all attachments is true and correct, and that I am legally authorized to represent this organization. Signature, FISCAL SPONSOR Auth. Legal Rep. Signature of APPLICANT ORGANIZATION Rep. Printed Name of FISCAL SPONSOR Auth. Legal Rep. Printed Name of APPLICANT ORGANIZATION Rep. Note: If this Fiscal Sponsor Form is not fully completed and the Required Additional Attachments are not included within the ARTSFUND application packets, the application will be disqualified. The ACAC recommends that applicant organizations using a fiscal sponsor contact ACAC Staff at least five weeks prior to the application deadline to review all conditions and requirements of a fiscal sponsorship agreement and submission of additional application materials. For more information regarding the ARTSFUND Grants Program and application process, please contact Rachel Osajima, Executive Director, Alameda County Arts Commission, rachel.osajima@acgov.org or phone: (510) or (510) ARTSFUND Application Form FISCAL SPONSOR FORM Attachment A